Ingabe ufana noNadeesha? Izimpawu Nezixazululo zePolycystic Ovary Syndrome (PCOS)

Namuhla emtholampilo wami, ngihlangane nesiguli esiphazamisayo kakhulu. Ungowesifazane oneminyaka engu-25 ubudala ogama lakhe linguNadeesha. Ngisho nalapho uNadeesha ehleli esihlalweni, amehlo akhe agcwele izinyembezi.

"Kwenzenjani, Nadeesha?" Ngambuza ngothando.

UNadeesha walawula imizwa yakhe wathi, "Dokotela, angikaze ngiye esikhathini ezinyangeni ezine. Futhi, sengiqalile ukukhula izinwele ezijiyile ezifana nezabesilisa ebusweni nasesilevini sami. Ubuso bami bonke bugcwele amaqhubu. Ngesaba kakhulu."

Ngibambe izandla zikaNadeesha ngamduduza. "Nadeesha, ungakhathazeki. Izimpawu ozichazayo zibonisa ukuthi uhlushwa ukungalingani kwamahomoni okubizwa ngokuthi i-PCOS (i-Polycystic Ovary Syndrome) . Lesi simo sivimbela ama-ovari ukuthi akhule kahle futhi akhulule amaqanda. Yingakho umjikelezo wokuya esikhathini uba ngongavamile. Ake senze ukuhlolwa kwe-ultrasound yesisu ukuqinisekisa lesi simo ngokuqinisekile."

🚨 Amafulegi Abomvu adinga ukunakekelwa kwezokwelapha okusheshayo

Nakuba i-PCOS ivame ukuba yisifo esingamahlalakhona, uma kuvela izimpawu ezilandelayo, kufanele ngokushesha ubonane nodokotela wezifo zabesifazane onguchwepheshe kanye nodokotela wezifo zabesifazane (Gynecologist) bese ucela ukwelashwa:

• Ukopha esikhathini okuhlala izinsuku ezingaphezu kuka-21 noma okunzima kakhulu (lokhu kungaholela ekulahlekelweni yigazi).
• Ubuhlungu obungazelelwe, obukhulu futhi obungabekezeleleki esiswini esingezansi (kungaba yi-ovarian cyst ephukile noma i-ovary ephukile - i-Ruptured Cyst/Ovarian Torsion).
• Ukuvuka uphefumula kanzima noma uhona kakhulu ngenkathi ulele ebusuku (i-Sleep Apnea).
• Ukuzizwa ucindezelekile kakhulu, ukhathazekile, futhi uzibulala.

Izinto ezibangela i-PCOS

Nakuba imbangela eqondile ye-PCOS ingakatholakali yisayensi yezokwelapha, izici ezilandelayo zitholakale zinethonya eliqondile kuyo:

1. Ukumelana ne-insulin: Lapho amangqamuzana omzimba engasabeli kahle ku-hormone i-insulin, amazinga kashukela egazini ayakhuphuka. Ama-pancreas abe esekhiqiza i-insulin eningi, futhi le insulin eningi ivuselela ama-ovari ukuze kwandiswe ukukhiqizwa kwama-hormone wesilisa.
2. Ukukhiqizwa ngokweqile kwama-hormone e-androgen: Nakuba imizimba yabesifazane ikhiqiza inani elincane lama-hormone wesilisa, ku-PCOS ama-ovari akhiqiza inani elikhulu lama-androgen. Lokhu kungaholela ekukhuleni kwezinwele zobuso, induna, kanye nokungakwazi ukukhipha amaqanda ngendlela efanele.
3. Ukuvuvukala Kwezinga Eliphansi: Ezigulini ze-PCOS, amangqamuzana amhlophe egazi abangela ukuvuvukala kwesikhathi eside kwezinga eliphansi, okuqhubeka nokukhuthaza ukukhiqizwa kwama-androgen ngama-ovari.
4. Ufuzo: Uma umama wakho, udadewenu, noma u-anti wakho ene-PCOS, kungenzeka kakhulu ukuthi ube nalesi sifo.

Izinkinga ezingaba khona zesikhathi eside ze-PCOS

Uma i-PCOS ingalawulwa kahle, yonke i-metabolism yomzimba ingaphazamiseka futhi kungavela izinkinga ezilandelayo:

• Ukungazali: Kunzima ukukhulelwa ngoba ama-ovari awawakhiphi amaqanda (i-Anovulation).
• Izinkinga ngesikhathi sokukhulelwa: Ingozi eyandayo yokuba nesifo sikashukela sokukhulelwa, umfutho wegazi ophakeme, kanye nokuphuphuma kwesisu.
• I-Metabolic Syndrome: Inhlanganisela yomfutho wegazi ophakeme, ushukela wegazi ophezulu, kanye ne-cholesterol kwandisa ingozi yesifo senhliziyo.
• I-steatohepatitis engeyona eyotshwala (i-NASH): Ukugcwala kwamafutha amaningi esibindini, okubangela ukuvuvukala kwesibindi, ngisho noma kungekho utshwala.
• Umdlavuza We-Endometrial: Ukungabikho kokuya esikhathini isikhathi eside kungabangela ukuthi ulwelwesi lwesibeletho (i-endometrium) luqine, okwandisa ingozi yokuba nomdlavuza.

Izixazululo zezokwelapha eziphumelelayo ze-PCOS

Nakuba i-PCOS ingelapheki ngokuphelele, izimpawu zingaphathwa ngempumelelo:

1. Izinguquko zendlela yokuphila (ukwelashwa okuyinhloko):

• Ukwehlisa isisindo: Ukwehlisa isisindo somzimba wakho ngo-5% kuya ku-10% kungasiza ekubuyiseleni umjikelezo wakho wokuya esikhathini.
• Ukudla: Nciphisa ukudla okunama-carbohydrate amaningi noshukela, bese udla ukudla okune-fiber eningi, imifino, izithelo kanye namaprotheni.
• Ukuzivocavoca kwansuku zonke: Ukuzivocavoca okungenani imizuzu engama-30 ngosuku, izinsuku ezi-5 ngesonto, kunciphisa ukumelana ne-insulin.

2. Ukwelashwa ngezidakamizwa:

• Ukulawula umjikelezo wokuya esikhathini: Odokotela batusa amaphilisi okuvimbela inzalo (amaphilisi okuvimbela inzalo ngomlomo) aqukethe ama-hormone.
• Ukulawulwa kwe-insulin: I-Metformin, umuthi wesifo sikashukela, inciphisa ukumelana ne-insulin futhi ivuselela ukukhishwa kwamaqanda.
• Ukukhulelwa: Odokotela banikeza amaphilisi akhethekile ukuze bakhuthaze ukukhululwa kwamaqanda.

Okumele Ukwenze Nokungafanele Ukwenze

Imithombo yesayensi (Izinkomba)

• 📚I-Polycystic ovary syndrome (PCOS) - i-NHS
• 📚 I-Polycystic ovary syndrome kanye nemiphumela yayo eminingi empilweni yengqondo yabesifazane: Isibuyekezo esilandisayo - PMC